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General NPI Number Information
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NPI Number | 1427370436
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Entity Type | Organization
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Legal Business Name | AIRPORT MD-MIAMI LLC
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Dates
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Enumeration Date | 02/17/2010
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Last Update Date | 02/17/2010
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Provider Practice Location Address
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Address Line | 4200 NW 21ST STREET MIAMI INTERNATIONAL AIRPORT-CONCOURSE H
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City | MIAMI
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State | FL
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Zip | 33142
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Country | US
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Telephone | 305-869-4075
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Fax | 305-869-4076
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Provider Business Mailing Address
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Address Line | 5741 SOUTHLAND DR
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City | MOBILE
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State | AL
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Zip | 36693-3307
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Country | US
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Telephone | 800-700-0278
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Fax | 251-666-8398
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Authorized Official
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Title or Position | DIRECTOR OF CREDENTIALING
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Name | RACHEL PATRICK
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Credential |
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Telephone | 251-602-6996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 23-8015240864-1
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License Number State | FL
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